Clement Adjatey

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

01036 Issued in NC

Practice address

1203 Fairview St
Greensboro, NC 27405-6632

Phone

(336) 379-0724

NPI assigned

Jun 15, 2015

Last updated

Jun 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Medical Health Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Greensboro, NC
  • NPI 1629122213
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1295116358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 FAIRVIEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056632",
            "telephone_number": "336-379-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 FAIRVIEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056632",
            "telephone_number": "336-379-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADJATEY",
        "first_name": "CLEMENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704426",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adess Residential Services, Inc. (Courtfield Place)
• Adess Residential Services, Inc. (Manor Place)
• Adess Residential Services, Inc.
• Adess Residential Services, Inc. (Brixton Place)
• Adess Residential Services, Inc.
• Bianca Mariko Adkins-Tarlton
• Gretchen L Adkins, M.D.
• Adolescent Alternatives
• Isabelle Adon
• Lisa Jo Adornetto

• Durable Medical Equipment & Medical Supplies in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.